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优惠权和撤销权将在晚上11:59后一分钟到期
东部时间2023年2月23日,除非报价延期 OR EARLIER TERMINATED. |
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If delivering by mail:
美国股票转让信托公司有限责任公司
Operations Center 联系人:重组部 6201 15th Avenue Brooklyn, New York 11219 |
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如果是特快专递的话
或其他特快专递服务:
美国股票转让信托公司有限责任公司
Operations Center 联系人:重组部 6201 15th Avenue Brooklyn, New York 11219 |
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投标股份说明
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登记车主姓名和地址
(如为空,请准确填写姓名) on share certificate(s)) |
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已投标的股票(如有必要,请附上其他列表)
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Certificated Shares*
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Book Entry Shares**
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Certificate
Number(s) |
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Total Number
of Shares Represented by Certificates |
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Number of Shares
Represented by Certificate(s) Tendered |
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Number of Shares
Held in Book-Entry Form Tendered |
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Total Shares
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*
除非另有说明,否则将假定上述证书所代表的所有普通股均在此进行投标。请参阅说明4。
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**
除非另有说明,否则将假定所有以簿记形式持有的普通股均在此进行投标。
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| 招标机构名称: | | |
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| DTC参与者编号: | | |
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| 交易代码编号: | | |
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注意:必须在下面提供签名。
请仔细阅读随附的说明。 |
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特殊付款说明
(See Instructions 1, 4, 5, and 7) |
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| | 仅在未有效投标或未被接受付款的股票及/或就有效投标及接受付款的股份作为代价的要约价支票将以以下签署人以外的其他人的名义发行或未获接受付款的账簿转让有效投标的股份将以贷方方式退还于DTC维持的账户(上文指定的账户除外)的情况下,方可填写。 | | | |||
| | Issue: | | | | | |
| | ☐ Check and/or | | | |||
| | ☐ Shares to: | | | |||
| | Name | | | | | |
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(Please Print)
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| | Address | | | | | |
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(Include Zip Code)
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(税号或社保号)(请另外填写美国国税局W-9表格
(附后)或适用的IRS表格W-8, available at irs.gov) |
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特殊送货说明
(See Instructions 1, 4, 5, and 7) |
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| | 仅在未有效投标或未被接受付款的股票及/或以有效投标及接受付款为代价的股份作为代价的股票及/或要约价格支票将寄往下文签署人以外的人士或下文签署人以外的地址时,方可填写,地址并非上文“已投标股份说明”所示地址。 | | | ||||||
| | Deliver: | | | | | | |||
| | ☐ Check and/or | | | ||||||
| | ☐ Shares to: | | | | | | |||
| | Name | | | | | | |||
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(Please Print)
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| | Address | | | | | | |||
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(Include Zip Code)
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IMPORTANT — SIGN HERE
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Signature(s) of Stockholder(s):
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Dated: , 2023
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| (必须按股票或证券头寸名单上的名称,或由随函发送的证书和文件授权成为登记持有人的人)签署。如果签名是由受托人、遗嘱执行人、管理人、监护人、事实代理人、公司管理人员或以受托人或代表身份行事的其他人签署的,请说明完整的标题并参见说明5。有关签名担保的信息,请参阅说明1。) | | |||
| Name(s): | | | | |
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(Please Print)
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| Capacity (Full Title): | | | | |
| Address: | | | | |
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(Include Zip Code)
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| 区号和电话: | | | | |
| 税务鉴定或社保编号: | | | | |
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(请另外填写IRS表格W-9(附后)或适用的IRS表格W-8,可在irs.gov上查阅)
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GUARANTEE OF SIGNATURE(S)
(仅供符合条件的机构使用; see Instructions 1 and 5) |
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| Name of Firm: | | | | |
| Address: | | | | |
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(Include Zip Code)
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| 授权签名: | | | | |
| Name: | | | | |
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(Please Print)
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| 区号和电话号码 | | | | |
| Dated: , 2023 | | | | |
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在下面的空白处放置徽章保证书:
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If delivering by mail:
美国股票转让信托公司有限责任公司 Operations Center 联系人:重组部 6201 15th Avenue Brooklyn, New York 11219 |
| |
如果是特快专递的话
或其他特快专递服务: 美国股票转让信托公司有限责任公司 Operations Center 联系人:重组部 6201 15th Avenue Brooklyn, New York 11219 |
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